Watkin D M
J Am Geriatr Soc. 1978 May;26(5):193-202. doi: 10.1111/j.1532-5415.1978.tb01958.x.
Logical bases (five of which are outlined) underlie action in nutrition and aging. First, nutrition, health, and aging form an integral triad affecting all. This basis has been applied to the conceptualization of the Nutrition Program for Older Americans (NPOA). Second, in North America, malnutrition is a sequitur of disease, whether physical, metabolic, emotional, or attitudinal. This basis is being applied by NPOA and other programs in an effort of cope with the pathologic conditions that bar proper nutrition. Third, since aging is a lifelong process, good nutrition and health practices must be applies throughout life. This basis will become effective only when the present image of the aged improves to the point that younger persons will strive for effective longevity. Fourth, changes in lifestyle to avoid risks have positive value. This basis requires professional and political leadership if it is to become widely adopted. Fifth, acute illnesses and accidents require immediate attention to nutritional and other factors if needless morbidity and mortality are to be avoided. This basis requires far more education of health professionals and lay persons to obviate such tragedies. All these bases are the infastructure for other actions directed at improving the image of today's aged and thereby diminishing the fatalism of younger persons and augumenting their determination to adopt lifestyles compatible with long, active, happy and productive lives.
营养与衰老方面的行动有其逻辑基础(以下概述了其中五个)。首先,营养、健康和衰老构成一个影响所有人的整体三元组。这一基础已应用于美国老年人营养计划(NPOA)的概念化。其次,在北美,营养不良是疾病的一种后果,无论是身体上的、代谢上的、情感上的还是态度上的。NPOA和其他项目正在应用这一基础,以应对阻碍适当营养的病理状况。第三,由于衰老是一个终身过程,良好的营养和健康习惯必须贯穿一生。只有当老年人目前的形象改善到年轻人会追求有效长寿的程度时,这一基础才会生效。第四,改变生活方式以避免风险具有积极价值。如果要广泛采用这一基础,就需要专业和政治领导。第五,如果要避免不必要的发病率和死亡率,急性疾病和事故需要立即关注营养和其他因素。这一基础需要对卫生专业人员和普通民众进行更多教育,以避免此类悲剧。所有这些基础都是其他行动的基础设施,这些行动旨在改善当今老年人的形象,从而减少年轻人的宿命论,并增强他们采取与长寿、积极、幸福和富有成效的生活相适应的生活方式的决心。